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脑动脉瘤

  • 概述
  • 理论
  • 诊断
  • 治疗
  • 随访
  • 资源
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最后审阅： 23 Jun 2024
最后更新： 14 Jul 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 头痛
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其他诊断因素

  • 惊厥
  • 颈强直
  • 意识水平下降
  • 局部神经功能障碍
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危险因素

  • 吸烟
  • 中至大量饮酒
  • 蛛网膜下腔出血家族史
  • 既往蛛网膜下腔出血
  • 遗传性结缔组织病
  • 高血压
  • 头部外伤
  • 颅内感染
  • 肿瘤
  • 动静脉畸形或瘘
  • 药物滥用
完整详情
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诊断性检查

首要检查

  • 头颅CT平扫
  • 传统的导管血管造影
  • CT 血管造影术
  • 磁共振血管成像 (MRA)
完整详情

需考虑的检查

  • 腰椎穿刺：
完整详情
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治疗流程

急症处理

未破裂动脉瘤

破裂动脉瘤

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撰稿人

作者

Brendan Eby, MD

Assistant Professor

Departments of Neurology, Neurosurgery, and Radiology

Washington University School of Medicine

St. Louis

MO

利益声明

BE has been a paid speaker at a national neurointervention fellows course sponsored by Penumbra Inc; the talk was unrelated to the sponsor's products or services.

鸣谢

Dr Eby would like to gratefully acknowledge Dr Grasso and Dr Michael Chen, the previous contributors to this topic.

利益声明

MC is an author of a reference cited in this topic.

同行评议者

David Altschul, MD

Chief of Neurovascular Surgery

Montefiore Medical Center

New York

NY

利益声明

DA declares that he has no competing interests.

Peter Martin, MA, BM BCh, MD, FRCP

Consultant Neurologist

Addenbrookes Hospital

Cambridge

UK

利益声明

PM declares that he has no competing interests.

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